| NPI | 1992316707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PR 129950) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 7855658) |
| Enumeration Date | 2020-08-14 |
| Last Update Date | 2021-05-04 |